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APPLICATION FOR BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA COVERAGE GROUP SIZE: 51-249 (Eligible Employees) 1. Name of Group: FULL LEGAL NAME AS IT SHOULD APPEAR IN THE GROUP CONTRACT 2. Physical
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How to fill out application for blue cross

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How to fill out an application for Blue Cross:

01
Begin by gathering all the necessary documents and information. This may include your personal identification details, previous medical history, current health status, and income information.
02
Visit the Blue Cross website or contact their customer service to obtain the application form. Ensure you have the correct version of the form that corresponds to your specific needs, such as individual coverage or family coverage.
03
Carefully read through the instructions provided on the application form. It is crucial to understand the requirements and provide accurate information.
04
Fill in your personal details in the designated sections of the application form. This may include your full name, date of birth, address, contact information, social security number, and marital status.
05
Provide detailed information about your previous medical history, including any pre-existing conditions, surgeries, or medications you are currently taking. Be as thorough and accurate as possible.
06
If you are applying for family coverage, ensure to include the details of all the family members who will be covered under the Blue Cross plan. This usually includes their names, dates of birth, and relationship to the primary applicant.
07
If required, provide information about your current employment, including your employer's name, address, and contact information.
08
Double-check all the information you have provided on the application form to ensure accuracy. Review the form for any missing or incomplete sections.
09
Sign and date the application form in the appropriate space to verify that the information provided is true and accurate to the best of your knowledge.
10
Make a copy of the completed application form for your records before submitting it to Blue Cross.

Who needs an application for Blue Cross?

01
Individuals who are seeking health insurance coverage for themselves.
02
Families who want to ensure healthcare coverage for all family members.
03
Those who are considering switching from another health insurance provider to Blue Cross.
04
Individuals or families who have experienced a life event, such as marriage, divorce, or the birth of a child, and need to update their insurance coverage.
05
Employees who have recently started a job that offers Blue Cross coverage and need to enroll in the health insurance plan.
06
Students who are no longer covered under their parents' insurance and require their own healthcare coverage.
07
Retirees who are transitioning from their employer's insurance plan to an individual or family plan with Blue Cross.
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The application for blue cross is a form that individuals need to fill out in order to apply for Blue Cross health insurance coverage.
Anyone who wants to obtain Blue Cross health insurance coverage is required to file an application for Blue Cross.
To fill out the application for Blue Cross, you need to provide personal information such as your name, address, contact details, and information about your medical history.
The purpose of the application for Blue Cross is to assess an individual's eligibility for health insurance coverage and determine the appropriate plan options.
The application for Blue Cross requires individuals to report their personal information, medical history, and details about any dependents they wish to include in their coverage.
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